Organization
CK HEALTH && WELLNESS LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY L CLARK (OWNER)
(601) 900-2882
Entity
Organization
Contact information
Practice address
682 PARKER PL, BRANDON, MS 39042-8493
(601) 900-2882
Mailing address
682 PARKER PL, BRANDON, MS 39042-8493
(601) 900-2882
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/12/2022
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